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Contract Details
Facility name
Apollo Urgent Care
Provider ID
P000007165
NPI
1801802129
Tax ID
205038159
Effective Date
8/1/2007
Last Updated
6/9/2016
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2745 Bob Wallace Avenue Southwest Suite F
Huntsville, AL 35805
United States
County
Madison
Phone
2565343552
(
Phone
)
Billing Details
Address
2745 Bob Wallace Avenue Southwest
Suite F
Huntsville, AL 35805
Billing Phone
2565343552
Specialty Type
Family Practice
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